Many people believe that first-responders and EMS can follow a person's living will or directions from their medical power of attorney, but that is not the case in a typical emergency outside the hospital.
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What is POLST?
The Illinois POLST form helps seriously ill and frail, older people get the medical
treatments they want, and avoid the medical treatments they do not
there is a
serious medical emergency that makes speaking to health
care professionals impossible.
What are the benefits of POLST for me or someone close to me?
POLST encourages people at high risk of a
medical emergency to talk with a health
care professional about what quality of life might be acceptable near the
end of life. The
conversation should include:
Patient’s diagnosis - What disease(s) or medical conditions does the patient have?
Patient’s prognosis - What is likely to happen to the patient over time as the disease or condition changes ?
Treatment options - What treatments are available to the patient? How do they help? What are the side effects?
Goals of care - What is important to the patient? What makes a good quality of life?
Should I complete a POLST form?
After talking, the patient (or in some cases their substitute decision maker)
professional may be able to make informed, shared decisions about what treatments
the patient wants, or does
not want, and put them on a POLST form.
A POLST form is a “portable medical order” which means that emergency personnel can follow the patient’s wishes during a medical emergency outside the hospital.
A POLST form is different from an advance directive. Even when the patient has written down or told a family member what he/she wants, if the patient has a medical emergency, emer gency personnel will do everything possible to try to save the patient’s life, including CPR & putting the patient on a breathing machine.
Download the POLST Form
The POLST form is
available in English and Spanish. To ensure emergency personnel can understand and follow the orders, it is
recommended that the POLST form be presented in English.
The Spanish version of the form is helpful for educational
When a person has a serious illness or is older and frail, the future of their health can be uncertain. These patients can’t plan for everything that might happen, but they can share
what is important to them with people who matter most in their lives. Most importantly, they can choose a substitute decision maker (also known as a health care agent, power of attorney for health care, or health care proxy).
A substitute decision maker is the person who speaks on behalf of the patient if they can’t make their own health care decisions because they are unable to speak due to an accident or illness.
A patient’s substitute decision maker would advocate for them if there was a medical emergency and doctors needed to know what the patient would want them to do or what to avoid doing.
All people over the age of 18 should choose a substitute decision maker even if they are not sick.
If you do not choose your own substitute decision maker, your health care team will identify one for you.